澳大利亚阴道镜检查诊所家庭暴力的流行情况及其关联因素。

Prevalence and associations of domestic violence at an Australian colposcopy clinic.

机构信息

University of Notre Dame Australia, Fremantle, Western Australia, Australia.

出版信息

J Low Genit Tract Dis. 2012 Oct;16(4):372-6. doi: 10.1097/LGT.0b013e3182480c2e.

DOI:10.1097/LGT.0b013e3182480c2e

PMID:22622342

Abstract

OBJECTIVE

Domestic violence is associated with significant mortality and morbidity including gynecological morbidity. We report the prevalence and associations of domestic violence in an Australian colposcopy service.

MATERIALS AND METHODS

A prospective study was performed from consecutive patients attending colposcopy clinics at a major metropolitan hospital in Australia. Key outcomes were the prevalence of intimate partner violence and its key demographic associations.

RESULTS

Consent was obtained from 574 and domestic violence status was ascertained in 566 of 581 women approached. Overall, 33% of responders reported violence within 12 months. In 14.5%, the female reported being sole recipient of violence; in a further 16.6%, violence was bidirectional, and in 1.9% of cases, a woman was the sole perpetrator. Key associations of violence were younger age at presentation (32 vs 35 y; p = .01), higher rates of smoking (51.3% vs 38.2%; p = .0004), higher rates of housing instability (32.2% vs 12.2%; p < .0001), a positive Beck Depression Inventory screen (50.0% vs 24.6%; p < .0001), and higher rates of default to initial attendance (15.5% vs 4.7%, p < .0001).

CONCLUSIONS

Domestic violence is common in women presenting to colposcopy services and may be associated with poor housing stability and higher default rates.

摘要

目的

家庭暴力与包括妇科发病率在内的高死亡率和高发病率密切相关。我们报告了澳大利亚阴道镜检查服务中家庭暴力的流行率及其主要人口统计学关联。

材料与方法

对澳大利亚一家主要大都市医院的阴道镜检查诊所连续就诊的患者进行了前瞻性研究。主要结局是亲密伴侣暴力的流行率及其关键人口统计学关联。

结果

在 581 名被接触的女性中，有 574 名同意参与，有 566 名确定了家庭暴力状况。总体而言，33%的应答者报告在 12 个月内遭受过暴力。在 14.5%的情况下，女性是唯一的受害者；在另外 16.6%的情况下，暴力是双向的，在 1.9%的情况下，女性是唯一的施暴者。暴力的主要关联因素是就诊时年龄较小（32 岁比 35 岁；p=0.01），吸烟率较高（51.3%比 38.2%；p=0.0004），住房不稳定率较高（32.2%比 12.2%；p<0.0001），贝克抑郁量表阳性（50.0%比 24.6%；p<0.0001），以及首次就诊的失访率较高（15.5%比 4.7%，p<0.0001）。